Individual provider Active NPI

Carolyn Mai Le, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fountain Valley, CA
National Provider Identifier
1649145483
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95037305 Issued in CA
Practice address
18885 Deodar St
Fountain Valley, CA 92708-7222
Phone
(714) 878-8838
Fax
(714) 683-1473
NPI assigned
Oct 10, 2025
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95037305 CA Primary

Addresses

Primary practice location

18885 Deodar St
Fountain Valley, CA 92708-7222

Mailing address

18885 Deodar St
Fountain Valley, CA 92708-7222
Phone (714) 878-8838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5904 Warner Ave
Suite 2004
Huntington Beach, CA 92649-4689

5904 Warner Ave
Suite a 2004
Huntington Beach, CA 92649-4670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95037305CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Medical, PC Psychiatric/Mental Health CurrentSince Jun 29, 2026 Accepting new patients

Locations

1720 W Ball Rd
Ste 4C
Anaheim, CA 92804
Phone (714) 683-1472

1800 Wilshire Blvd
Los Angeles, CA 90057
Phone (213) 478-0460

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1649145483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18885 DEODAR ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087222",
            "telephone_number": "714-878-8838",
            "fax_number": "714-683-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18885 DEODAR ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087222",
            "telephone_number": "714-878-8838",
            "fax_number": "714-683-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "CAROLYN",
        "middle_name": "MAI",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95037305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.